Page 3 - July Financial

F Facility #: Towne Square Care of Puryear - SNF Facility Code: 1
Date: Oct 1, 2018 A/R Aging Report User: Zach Bell
Time: 16:41:53 CT July 2018 Page 1 of 2
Resident: All Status: Both Aging Type: A/R Aging Age By: Service Date Buckets: PCC Default Including cash to: August 2018 Balance Filter Options: All Payers: All

Payer Total Future Cash Current 30 60 90 120 150 180 210
+07/18 07/18 06/18 05/18 04/18 03/18 02/18 01/18 +12/17
AMERIGROUP (AMG-TN) ($23,513.67) $0.00 ($1,884.92) ($1,440.89) ($1,755.94) ($1,588.90) ($1,285.33) ($761.12) ($1,440.94) ($13,355.63)
HOSPICE MEDICAID TN (HMT-TN) ($11,302.42) $0.00 ($890.32) $1,161.67 ($0.02) $0.00 $0.00 $0.00 $0.04 ($11,573.79)
HOSPICE PRIVATE (HP) $195.00 $0.00 $195.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
MANAGED CARE - BLUE CROSS BLUE SHIELD $19,585.35 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $19,585.35
(BC)
MANAGED CARE - HUMANA (HUM) $29,841.63 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $4,063.74 $9,225.00 $16,552.89
MANAGED CARE THERAPIES (MCT) $578.34 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $578.34
MANAGED CARE W/ RUGS (MCR) $6,198.96 $0.00 $6,198.96 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
MEDICAID BLUECARE TN (MBC-TN) ($26,959.67) $0.00 ($1,706.12) ($1,195.54) ($1,742.86) ($116.66) ($1,375.05) ($4,394.22) ($4,119.44) ($12,309.78)
MEDICAID PENDING (MP) $22,159.08 $0.00 $0.00 $2,475.00 $5,090.00 $4,950.00 $5,115.00 $3,135.00 $1,440.00 ($45.92)
MEDICARE A (MCA) $343,168.85 $0.00 $10,957.54 $15,685.14 $20,356.49 $28,440.39 $35,009.42 $26,196.67 $19,885.15 $186,638.05
MEDICARE A COINS FROM INSURANCE (MAI) $19,611.50 $0.00 $0.00 $0.00 $0.00 $0.00 $837.50 $1,172.50 $0.00 $17,601.50
MEDICARE A COINS FROM MEDICAID (MAM) $136,371.50 $0.00 $6,030.00 $10,050.00 $7,872.50 $7,035.00 $13,735.00 $15,410.00 $13,400.00 $62,839.00
MEDICARE B (MCB) $59,447.95 $0.00 $9,955.44 $0.00 $13,224.06 $10,704.18 $5,631.41 $4,086.06 $6,349.75 $9,497.05
MEDICARE B COINS FROM INSURANCE (MBI) $303.45 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00 $303.45
MEDICARE B COINS FROM MEDICAID (MBM) $9,860.16 $0.00 $1,340.96 $0.00 $1,774.63 $2,305.30 $1,348.10 $717.48 $697.91 $1,675.78
MEDICARE B COINS FROM PRIVATE (MBP) $1,596.93 $0.00 $401.12 $0.00 $290.43 $424.87 $88.24 $0.00 $0.00 $392.27
PRIVATE INSURANCE (PI) $3,411.24 $0.00 $3,091.24 $320.00 $0.00 $0.00 $0.00 $0.00 $0.00 $0.00
PRIVATE PAY (PP) $10,735.58 ($6,045.00) $6,063.59 $785.20 $744.26 ($505.11) $0.00 $324.82 $2,482.21 $6,885.61
RESIDENT LIABILITY (PL) ($7,882.64) ($1,974.60) $1,519.46 ($3,367.14) ($3,123.88) ($1,353.40) $416.92 $0.00 $0.00 $0.00
UNITEDHEALTHCARE MCO (UMC-TN) $28,822.62 $0.00 $6,566.61 $3,944.80 $4,076.82 $8,850.78 $5,752.12 $1,321.00 $4,026.23 ($5,715.74)
Total $622,229.74 ($8,019.60) $47,838.56 $28,418.24 $46,806.49 $59,146.45 $65,273.33 $51,271.93 $51,945.91 $279,548.43